Enrollment Broker Operations Director
AUSTIN, TX
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Functional Title: Enrollment Broker Operations Director
Job Title: Director II
Agency: Health & Human Services Comm
Department: Enroll OS - Enroll Broker Ops
Posting Number: 9651
Closing Date: 11/30/2025
Posting Audience: Internal and External
Occupational Category: Community and Social Services
Salary Group: TEXAS-B-27
Salary Range: $7,015.16 - $11,864.50
Pay Frequency: Monthly
Shift: Day
Additional Shift:
Telework: Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
Other Locations:
MOS Codes: 8003,8040,8041,8042,10C0,111X,112X,113X,114X,20C0,30C0,40C0,611X,612X,631X,641X,648X,90G0,91C0,91W0
97E0,SEI15
Brief Job Description:
The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) department seeks a highly qualified candidate to fill the Director II position in Program Enrollment and Support, Enrollment Broker Operations. MCS is driven by its mission to deliver quality, cost effective services to Texans. This position makes a significant contribution to MCS’s mission by managing day-to-day operations and oversight of the Enrollment Broker (EB) vendor while coordinating EB system projects with HHSC eligibility system (TIERS) team, Managed Care Organizations, Texas Medicaid and Healthcare Partnership (TMHP), and other stakeholders as required.
The Enrollment Broker Operations Director II performs highly advanced (senior level) managerial work of daily operations of Medicaid/CHIP Services, Program Enrollment & Support, Enrollment Broker Operations. This position has seven direct reports and manages day-to-day operations and oversight of the Enrollment Broker vendor. The Enrollment Broker Operations section is responsible for ensuring contract requirements are met, identifying performance trends, and evaluating improvement activities or contract remedies. Work involves managing and prioritizing staff assignments, developing, coordinating, and implementing major agency program (s), and providing consultative services and technical assistance to program staff, governmental agencies, community organizations, or the general public. This position directs the development of policies, guidelines, procedures, and communication with respect to Medicaid & CHIP managed care operations. Manages compliance and significant project coordination with the Health and Human Services (HHS) enterprise programs and stakeholders. Develops improvement plans with stakeholders and contractors for identified deficiencies. Ensures staff and vendor compliance with agency policy and unit standards, processes, and procedures. Manages cross-division collaboration to ensure horizontal and vertical communication on projects and initiatives, appropriate project prioritization, and effective resource utilization. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.
The ideal candidate thrives in an environment that emphasizes critical thinking and problem solving, teamwork to achieve goals, integrity, excellence through high professional standards and personal accountability, and curiosity to continuously grow and learn.
Essential Job Functions (EJFs):
Directs and approves Enrollment Broker Operations staff activities to meet the goals and objectives of the program including but not limited to: providing guidance and directional assistance to staff charged with developing and implementing the program’s policies, procedures, rules and guidelines affecting the overall functioning of the program; reviewing and approving the implementation of policies, procedures, rules and guidelines deemed appropriate for the administration of the program; reviewing and approving the use of evaluation tools designed by program staff to determine/measure the progress towards meeting the goals and objectives of the program; reviews and approves management, fiscal and productivity reports; forecast staffing, physical, programmatic and fiscal needs of the program. Directs all evaluation activities of the program (internal, external and contractor evaluation); provides updates to executive staff.
Manages the collection, organization, analysis, and preparations of materials in response to request for program information and reports. Establishes strategic goals by gathering pertinent business and operations information; identifying and evaluating trends and options; choosing acourse of action; defining objectives; evaluating outcomes for the program. Establishes the program’s goals and objectives to support the development of strategic plans and program priorities including but not limited to: utilizing the results of and as necessary conducting special studies and/or research to identify methods/processes/procedure having a positive and negative effect on the program to determine area of the program requiring change to ensure the overall efficient functioning of the program; developing and implementing techniques for evaluating policies, process and procedures and devising solutions to achieve program improvement. Reviews overall business operations of the program to ensure program efficiency and effectiveness for the program staff, contractors, and users of the program services. Reorganizes/ restructures the program as necessary to meet program goals and operational functioning.
Manages the development and implementation of program processes and tools for use by staff to determine if contractors are meeting their contract performance obligations and directing staff toward identifying trends or anomalies that may require additional oversight and monitoring. Oversees on-site and desk reviews of the enrollment broker.
Manages program communications and reports to external and internal parties regarding performance management issues, activities or results. Prepares status reports for management identifying progress, productivity, key milestones, results of evaluation activities, overall performance of contractor, trends or anomalies that may require additional contract oversight and action.
Provides technical guidance to the division and department staff related to performance management and monitoring. Coordinates surveys and reviews to determine compliance with certification requirements, laws, regulations, policies, and procedures.
Hires, manages and develops staff, and recommends appropriate personnel actions to foster a fair, honest and equitable work environment Provides direct reports with work assignments, clear direction and information on responsibilities and work performance expectations, Develops work performance plans and conducts performance evaluations at least annually. Keeps direct reports Informed about relevant departmental activities and decisions. Provides staff with tools and information needed to carry out their responsibilities and to succeed in their work. Reviews and approves leave and carries out other expected human resources activities with direct reports.
Knowledge, Skills and Abilities (KSAs):
Knowledge of:
- Medicaid and CHIP managed care enrollment policy and processes.
- Local, state, and federal laws related to the program area; of public administration and management techniques; of statistical analysis processes; of budget processes; of research techniques; of training and marketing techniques; and of program management processes and techniques.
Skill in:
- Identifying measures or indicators of program performance and in operating computers and applicable software.
- Coordinating with multiple stakeholders.
- Coordinating team member actions operating in direct support of the enrollment broker activities and team members responsible for resolving Medicaid and CHIP eligibility and managed care enrollment issues.
Ability to:
- Evaluate impacts that policy and program changes may have on Medicaid and CHIP managed care enrollment.
- Manage projects and work groups to facilitate the implementation of changes to managed care enrollment.
- Review enrollment broker contract deliverables.
- Gather, assemble, correlate, and analyze facts; to devise solutions to problems; to market programs; to prepare reports; to develop, evaluate, and interpret policies and procedures; to communicate effectively; and
- Train, lead, assign, and prioritize staff workloads.
Registrations, Licensure Requirements or Certifications:
N/A
Initial Screening Criteria:
At least two years’ experience in Medicaid and CHIP policy and procedures. Bachelor’s degree from an accredited college or university. Educational requirements are transferable with relevant work experience on a year-for-year basis. Past experience working in a leadership role which may include, but is not limited to managing staff, overseeing work products, and developing long-range and short-term plans.
Additional Information:
N/A
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Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Nearest Major Market: Austin